Illinois Medicaid- Substance Abuse Kewanee
Illinois Medicaid- Substance Abuse Kewanee is an Addiction (Substance Use Disorder) Counselor in Kewanee, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
- Specialties on file
- 5
Practice location Address checks out
137 E College StKewanee, IL 61443-3703
Phone: (309) 852-4331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence A-0118-0003-A (IL) |
| Psychiatry Physician | Taxonomy 2084P0800X (IL) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X (IL) |
| Methadone Clinic | Taxonomy 261QM2800X (IL) |
Record details
| NPI number | 1386011161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bridgeway Inc |
| Authorized official | Bill Nelson — Ceo · (309) 344-4200 |
| NPI enumerated | August 27, 2015 |
| Last updated in NPPES | August 19, 2019 |
| Mailing address | 137 E College St, Kewanee, IL 61443-3703 |
Other providers in Kewanee
-
Bridgeway Inc
137 E College St, Kewanee, IL 61443-3703 · (309) 852-4331
-
Bridgeway, Inc
1220 W Division St, Kewanee, IL 61443-3390 · (309) 853-4325
-
Lisa Kay Stevens-Buck, CADC
137 E College St, Kewanee, IL 61443-3703 · (309) 852-4331